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    Loss of a Spouse Can Cause Depression, Even Two Years Later

    WebMD Health News

    Oct. 18, 1999 (Cleveland) -- The recent loss of a spouse is a significant risk factor for depression in elderly patients, according to a study published in the October issue of the American Journal of Psychiatry. Some people can continue to have symptoms of depression up to two years after the loss of their spouse.

    "Spousal loss should spark extra energy in terms of exploring the possibility of major depression," co-author Robert B. Wallace, MD, tells WebMD. "Also, there is a lore that major depression in the oldest-old is somewhat less common than it is in young and middle-aged adults. But in fact, that's very difficult to measure, and we know that depressive symptoms are often higher [and atypical] in the elderly. So for those reasons, we always need to be looking out for it," he adds.

    Lead author Carolyn L. Turvey, PhD, and colleagues looked at more than 5,000 people aged 70 or older. They found that the older people -- and specifically women -- had higher rates of depressive symptoms; they also found that women were more likely to suffer from long-term depression. Newly bereaved individuals had the highest rates of depression and its associated symptoms, such as sadness and lack of interest in activities they once enjoyed.

    Compared with married subjects, the newly bereaved had rates of depression that were nearly nine times as high as married subjects, while the rate of depressive symptoms without the full-blown disorder was almost four times as high. At one month after the death of their spouse, 33.3% of patients had six or more symptoms of depression, compared with 12. 2% of patients for whom 19-24 months had passed since the death of their spouse

    Nevertheless, notes Wallace, who is a professor of epidemiology and internal medicine at the University of Iowa in Iowa City, depressive symptoms were still higher than before the loss of the spouse. "While on average, depression in these patients did start to go away ... an average of 3 to 6 months [after bereavement], the rates at 2 years were higher than baseline levels. So this loss seems to be associated with some long-standing depression," he says.

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